Individual provider Active NPI

Edward M Baynham Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1790913630
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003618 Issued in OH
Practice address
1570 Fishinger Rd
Columbus, OH 43221-2114
Phone
(614) 451-7033
Fax
(614) 451-7080
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006106 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 003618 OH Primary

Addresses

Primary practice location

1570 Fishinger Rd
Columbus, OH 43221-2114

Mailing address

1570 Fishinger Rd
Columbus, OH 43221-2114
Phone (989) 621-3607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000325 OH Practitioner - Podiatry 2961668116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Foot and Ankle LLCGroup PAC ID 1456517606, 2 clinicians

Practice addresses (Care Compare)

1570 Fishinger Rd
Columbus, OH 43221-2114
Phone (614) 451-7033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue30
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006106PAMDPodiatrist
003618OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Nov 14, 2019 Accepting new patients
Capital City Foot & Ankle LLC Foot & Ankle Surgery CurrentSince Jul 1, 2012 Accepting new patients
Mobile Medical Inc Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Nov 14, 2019 Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

2200 W Broad St
Columbus, OH 43223

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

1570 Fishinger Rd
Upper Arlington, OH 43221
Phone (614) 451-7033

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1790913630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212114",
            "telephone_number": "989-621-3607",
            "fax_number": "614-451-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212114",
            "telephone_number": "614-451-7033",
            "fax_number": "614-451-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNHAM",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006106",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "003618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.